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上颌总义齿主要连接体对语音功能的影响。

Influence of the major connector in a maxillary denture on phonetic function.

机构信息

Removable Partial Denture Prosthodontics, Department of Masticatory Function Rehabilitation, Division of Oral Health Sciences, Graduate School of Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan.

出版信息

J Prosthodont Res. 2011 Oct;55(4):234-42. doi: 10.1016/j.jpor.2011.03.003. Epub 2011 May 23.

Abstract

PURPOSE

The purpose of this study was to investigate the influence of the major connector in a maxillary denture.

METHODS

Eight patients with sound dentition were recruited in this study. The experimental connectors were fabricated with Co-Cr. Two positional designs were used: one was the middle type (M), and the other was the anterior and posterior type (AP). The six sounds, /shi/, /hi/, /chi/, /ki/, /ri/, and /ni/, were chosen as the test sounds. Using a speech recognition system, the intelligibility, change and duration of the test sounds were evaluated under three conditions: without connector (WO·C), with the M-type connector (W·M), and with the AP-type connector (W·AP).

RESULTS

The intelligibility in WO·C and W·AP was 86.9 ± 17.4% and 57.1 ± 30.1% for /shi/, 79.2 ± 19.7% and 70.5 ± 27.0% for /hi/, 74.7 ± 14.6% and 43.6 ± 24.3% for /chi/, 54.4 ± 16.5% and 23.2 ± 17.8% for /ki/, 85.2 ± 15.9% and 55.1 ± 30.6% for /ri/, and 76.9 ± 26.9% and 50.2 ± 31.3% for /ni/. Significant differences were recognized between WO·C and W·AP in /shi/, /chi/, /ki/ and /ri/(P<0.01). The intelligibility in W·M was higher than that in W·AP in all test sounds. As for incorrect labels, significant differences were recognized in the appearance ratio of /hi/ as the incorrect label in the test sound /shi/ (P<0.05). There were significant differences in some incorrect labels of /hi/ and /chi/. As for duration of consonant part, there was no significant difference in each test sound.

CONCLUSION

It was indicated that the middle type of the major connector would be recommended from a viewpoint of phonetic function.

摘要

目的

本研究旨在探讨上颌义齿主要连接器的影响。

方法

本研究纳入了 8 名具有完整天然牙列的患者。实验性连接器由 Co-Cr 制成。使用了两种位置设计:一种是中间型(M 型),另一种是前、后型(AP 型)。选择了六个音,/shi/、/hi/、/chi/、/ki/、/ri/和/ni/,作为测试音。使用语音识别系统,在三种条件下评估测试音的可懂度、变化和持续时间:无连接器(WO·C)、M 型连接器(W·M)和 AP 型连接器(W·AP)。

结果

WO·C 和 W·AP 条件下,/shi/的可懂度分别为 86.9±17.4%和 57.1±30.1%,/hi/分别为 79.2±19.7%和 70.5±27.0%,/chi/分别为 74.7±14.6%和 43.6±24.3%,/ki/分别为 54.4±16.5%和 23.2±17.8%,/ri/分别为 85.2±15.9%和 55.1±30.6%,/ni/分别为 76.9±26.9%和 50.2±31.3%。在/shi/、/chi/、/ki/和/ri/中,WO·C 和 W·AP 之间存在显著差异(P<0.01)。W·M 条件下的可懂度均高于 W·AP 条件下的可懂度。至于错误标签,在测试音/shi/中,/hi/出现错误标签的比例存在显著差异(P<0.05)。/hi/和/chi/的一些错误标签也存在显著差异。至于辅音部分的持续时间,每个测试音都没有显著差异。

结论

从语音功能的角度来看,推荐使用中间型主要连接器。

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